ACCREDITATION AND PACE MARCH 13 2018 PACE ACCREDITATION

ACCREDITATION AND PACE MARCH 13, 2018

PACE ACCREDITATION 1997 -1998 ØNPA developed national accreditation standards and draft performance measures for PACE ØNPA and The Joint Commission establish a collaborative agreement to conduct a pilot accreditation study 2009 -2010 2016 2017 -2018 ØNPA establishes Alliance for PACE Innovation and Quality (APIQ) ØNPA BOD approves 20162021 Strategic Plan that includes goals to distinguish and promote the PACE brand ØNCQA initiates discussion with NPA on PACE accreditation with deeming ØPACE accreditation workgroup established to further evaluate NPA’s position on the establishment of federal legislation in support of PACE accreditation

PACE Accreditation Workgroup NPA Board of Directors Representatives: Karren Weichert - President/CEO, Midland Care PACE Kathy Mc. Guire - Senior Vice President, Rochester General Health System Laura Wagner - SVP Geriatric Programs, Neighborhood PACE Cliff Bauer – President, Florida PACE Centers, Inc. Tim Clontz – Senior Vice President, Cone Health Adam Burrows, MD – Medical Director, Upham’s Elder Service Plan/PACE Grace Li - Chief Executive Officer, On Lok Lifeways Joann Gago - Chief Executive Officer, LIFE Pittsburgh Ellen Garcia - Executive Director, Providence Elder. Place in Portland Samira Beckwith - President & CEO, Hope Health. Care Services Kelly Carter - Program Officer, Community Care, Inc Verna Sellers, MD - Medical Director, Centra PACE NPA Committee Representatives: Laura Wagner - Public Policy Committee Chair Marianne Ratcliffe - Public Policy Regulations Sub-Committee Chair Verna Sellers, MD - Primary Care Committee Chair Lisa Zavorski - Quality Committee Chair Laura Ferrara - Quality Committee Audit and Compliance Subcommittee Chair NPA Staff: Peter Fitzgerald - EVP, Policy and Strategy Mia Phifer - VP, Quality Chris van Reenen -VP, Regulatory Affairs

PACE Accreditation PACE accreditation should be pursued, with the following stipulations: § CMS is able and willing to grant “full” deeming status for all areas assessed for regulatory compliance, in lieu of CMS PACE audits; § The accreditation program is specific to PACE, taking into consideration both the provider and health plan features of the PACE model of care; and § AOs willingness to collaborate with NPA and/or its members on the development of an accreditation program and related standards.

NCQA UPDATE • NPA requested more information on stakeholder i. e. PACE organization role in development of accreditation standards and measures • NPA related concern that the standards and measures reflect PACE’s role as both a plan and a provider • NPA requested that NCQA create a crosswalk of their existing accreditation programs and of PACE audit requirements